| NPI | 1730731977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA a155001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A155001) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-09-06 |